MARK METWALLY, MD
Gastroenterology Physician · BURNT HILLS, NY
Individual Active NPI 1316122823
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 328 | 8,672 | $517,517 | $268,601 | $210,459 |
| 2023 | 415 | 27,392 | $1,109,980 | $717,022 | $567,728 |
| 2022 | 759 | 24,714 | $994,823 | $648,677 | $505,364 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 6,000 | $22 | $17 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,630 | $32 | $25 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 105 | $163 | $119 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 88 | $116 | $76 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 84 | $108 | $88 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 57 | $112 | $87 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 45 | $223 | $179 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 30 | $114 | $89 |
| 96415 | Administration of chemotherapy into vein, each additional hour | 28 | $24 | $19 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | $155 | $122 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $141 | $141 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 19 | $55 | $43 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 274634 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.